<p> SUFFOLK COUNTY COMMUNITY COLLEGE SELDEN, NEWYORK 11784</p><p>FORM B4</p><p>EVALUATION OF PROFESSIONAL ASSISTANTS</p><p>NAME, TITLE AND RANK OF FACULTY MEMBER EVALUATED </p><p>PERIOD OF EVALUATION</p><p>NAME AND POSITION OF FACULTY MEMBER EVALUATING</p><p>General character of faculty member's present responsibilities including areas to which he/she provides service.</p><p>1. In this section the character of the faculty member's performance is examined within the framework of certain generally desirable attributes. It is assumed that any meaningful rating according to these traits will be accompanied by specific job related comments. For example, an excellent rating in organization should be accompanied by specific statements as to what was organized; such as a filing system, a work room or lab, etc. In this way a completed form should give a reviewer a good idea of what the P.A. does and how well he/she does it.</p><p>A. COOPERATIVENESS:</p><p>A summation of the above comments for this criterion would be:</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ] FORM B4</p><p>B. DEPENDABILITY:</p><p>A summation of the above comments for this criterion would be:</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>C. FLEXIBILITY IN JOB SKILLS:</p><p>A summation of the above comments for this criterion would be: </p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>D. INITIATIVE:</p><p>A summation of the above comments for this criterion would be:</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>E. ORGANIZATION:</p><p>A summation of the above comments for this criterion would be:</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ] FORM B4 F. RESOURCEFULNESS:</p><p>A summation of the above comments for this criterion would be:</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>G. WORKING KNOWLEDGE OR "KNOW-HOW" USED IN THIS WORK. Please list specific items. (i.e., Subject Matter, Technical Skill, Ability to Repair Equipment, etc.)</p><p>In summation the "know-how" of the evaluee would best be described as: Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>H. EFFECTIVENESS OF PERSONAL CONTACT WITH OTHER MEMBERS OF THE COLLEGE COMMUNITY: Comment if contact is of a significant nature.</p><p>FACULTY</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>Comment.</p><p>ADMINISIRATION </p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ] Comment: FORM B4 H. STAFF (Clerical and Maintenance)</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ] Comment.</p><p>STUDENTS Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ] Comment:</p><p>H. GENERAL COMMENTS:</p><p>In summation, considering all items mentioned in this evaluation, the candidate's performance could best be categorized as:</p><p>Excellent Satisfactory Needs Improvement Does Not Apply [ ] [ ] [ ] [ ]</p><p>I have read and discussed this evaluation with evaluator.</p><p>COMMENTS</p><p>EVALUATED PROFESSIONAL ASSISTANT Date</p><p>EVALUATOR Date Suffolk County Community College Selden, New York 11784</p><p>Form B4</p><p>OPTIONAL FACULTY RESEONSE</p><p>(Use additional paper if necessary; please be sure to include the following information)</p><p>Name of Faculty Member Rank</p><p>Discipline Campus</p><p>Course and Section </p><p>Name and Title of Evaluator</p><p>Date and Time of Evaluation</p><p>Date and Time of Post-Observation Conference</p>